Duties and Responsibilities:

Check patient’s Airway for any obstructions and ensure open airway.
Comply with established universal precautions and isolation procedures.
Assess patient’s vital life processes and carry out Basic Life Support functions.

Clean interior and exterior of the assigned vehicle.
Lift and carry patients to and from the gurney, backboard, bed, wheelchair, and/or floor.
Administer wound care and apply traction and/or splinting.
Read maps and route ambulance unit.
Driving an ambulance (emergency and non-emergency responses).
Transport patients to medical facilities.
Thoroughly and legibly complete EMS pre-hospital form, run ticket and other related paperwork.
Assist with the field operation of new hire EMT’s.
Keep the ambulance in good working order.
Check and stock medical equipment and keep ambulance clean/washed.
Report mechanical problems or unusual incidents to a supervisor and dispatch.
Assess injuries to the central nervous system and initiate appropriate medical treatment.
Maintain clean and orderly crew quarters.
Comply with continuing education requirements.
Keep all licenses and certifications current.

Employee Initials_____________

Maintain verbal contact with dispatch via two-way radio or (if authorized) page regarding unit readiness, crew identity, location, etc.
Function as a public relations representative when dealing with facilities and/or agencies, etc.
Responsible for adhering to all company manuals, policies, procedures, training, and memorandums.
Perform other duties as required.
All skills within the EMT’s scope of practice which may include but is not limited to:

You will be expected to perform your duties in a calm, professional manner. You must be able to carry out all EMT-level patient assessment and emergency care procedures. The following is a list of all the major EMT skills you should be able to perform in accordance with the law.

Properly inform patients and gain informed actual consent to treat.
File the proper reports for special patient situations.
Apply anatomical knowledge directly to patient assessment and care procedures.
Use correct medical terminology in communications and reports.
Relate mechanisms of injury to accident patients in order to detect possible injuries.
Properly wear and use all assigned clothing and equipment supplied to help reduce the risk of exposure to infectious diseases.
Complete a primary and secondary survey.
Gather information from bystanders.
Conduct a subjective patient interview.
Determine pulse rate, rhythm, and character.
Determine respiratory rate and character.
Palpate and auscultate blood pressures.
Determine skin temperature, moisture, and color and recognize any changes.
Determine pupil size, reactivity, and equality.
Detect distal pulse and nerve activity during assessment of the upper and lower limbs.
Detect cervical and lower back point tenderness.
Use a stethoscope to determine lung sounds.
Conduct an objective physical examination.
Accurately record information gained during the patient assessment.
Detect and record changes in vital signs as well as the patient’s condition.
Open and maintain an airway and determine adequate breathing.
Determine a carotid pulse.
Clear partially and fully obstructed airways.
Establish respiratory arrest and provide safe pulmonary resuscitation.
Establish cardiac arrest and provide proper cardiopulmonary resuscitation.
Provide on-rescuer and two-rescuer CPR, at times while moving.
Deliver effective ventilation by bag-valve mask, pocket facemask and positive pressure resuscitator.
Properly insert oropharyngeal and nasopharyngeal airways.
Determine when patients need supplemental oxygen based on signs and symptoms and select the proper delivery device and flow.

Employee Initials_____________

Detect and control external bleeding
Use direct pressure, pressure dressings, elevation, pressure points, and tourniquets to control bleeding.
Estimate internal and external blood loss.
Detect possible internal bleeding based on signs and symptoms, and mechanism of injury.
Detect based on signs and symptoms, and care for shock.
Detect soft tissue injuries and determine their type.
Dress and bandage open wounds.
Use occlusive dressings for open chest wounds, open abdominal wounds, and bleeding from major neck veins.
Preserve and transport avulsed and amputated tissues.
Stabilize and provide care for an impaled object and an avulsed eye.
Stabilize and provide care for musculoskeletal injuries.
Utilize all immobilization tools for fracture and dislocation stabilization.
Evaluate nerve and circulatory functioning after splinting.
Properly apply a rigid cervical collar.
Immobilize possible spinal injury patients on a long board.
Use the four-rescuer log roll to place patients on the long board.
Apply patient assessment techniques to detect possible:

- cranial and facial fracture - poisoning

- brain injury - alcohol and drug abuse

- spinal injury - insect and snake bites

- blunt chest trauma - burns

- flail chest - heat and cold emergency

- rib fractures - smoke inhalation

- angina pectoris or AMI - electrical injuries

- CHF - water related injuries

- mechanical pump failure - psychiatric emergencies

- pneumothorax - profuse bleeding

- hemothorax - internal hemorrhage

- tension pneumothorax - cardiac arrest

- cardiac tamponade - respiratory arrest

- stroke - SOB

- COPD - shock

- respiratory distress - soft tissue wounds

- diabetic coma - fractures

- insulin shock - impaled objects

- seizures - avulsed or amputated tissues

- SIDS - dislocations

- childbirth - child abuse

- infectious diseases - elderly abuse

Use medical identification devices to collect patient information.
Detect and provide safe basic care for patients with possible infectious diseases while protecting yourself from the disease.
Exercise proper personal hygiene after contact with patients with infectious diseases.
Properly sanitize the ambulance after contact with a patient with infectious disease.
Detect and treat possible cases of poisoning.

Employee Initials_____________

Provide initial basic care for insect stings and snakebites.
Detect and care for possible drug and alcohol abuse.
Evaluate a woman in labor.
Prepare an expectant mother for delivery, assist the delivery, and provide post deliver care for the newborn and mother as needed.
Provide resuscitative measures for the newborn in respiratory or cardiac arrest.
Collect and transport the afterbirth.
Accurately record a birth.
Classify burns as first, second or third degree.
Use the rule of nines to determine burn severity.
Provide care for thermal, chemical, electrical, and radiation burns.
Detect and care for heat and cold related injuries.
Determine if patients may be having possible stress reaction, emotional emergency, or psychiatric emergency.
Establish effective communication with non-English speakers, the elderly, the deaf and the blind.
Provide proper care for victims, rape victims, aggressive patients and suicidal patients.
Initiate and conduct triage.
Properly conduct a daily inspection of the ambulance in accordance with local and state laws.
Use emergency and defensive driving skills to avoid accidents while driving an ambulance.
Correctly use warning devices found on ambulance.
Properly position the ambulance on scene.
Reach patients trapped in vehicles by gaining access through locked doors, windows, or anyway necessary.
Package patients for transfer and transport.
Apply short spine board for KED to patients found in a vehicle or confined space and move them along to a long board.
Take vital signs and provide needed basic EMT-level care during transport.
Conduct and orderly transfer of patients at a medical facility.
Present oral reports to the medical facility in a calm, professional manner.
Conduct proper radio communication.
Complete all reports required by your company.
Take appropriate steps to protect yourself from stress.

Minimum Qualifications

High School diploma or GED, Current State of California EMT Certificate, California Driver’s License, California Ambulance Drivers License and acceptable driving record. Current Medical Examiner’s report (proof as required by DMV). Current CPR-BLS certification. Ability to locate hospitals and major facilities in the Orange County/Los Angeles County areas to maintain effective communication skills with both co-workers, patients, patient’s family, dispatch, and hospital staff and base stations, and interfacing agencies. Effective oral and written communication skills. Effective interpersonal skills.

Stress Factors:

Occasionally: Boredom, MCI’s, life and death situations.

Frequently: Repetitive tasks, high pressure, hazards, fatigue, intense tasks, high call volume.

Constantly: Patient care.

Employee Initials_____________

Physical Requirements:

Occasionally: Lifting greater than 200 pounds, climbing, kneeling, and running distance.

Frequently: Walking inside and outside, lifting no greater than 200 pounds, pushing, pulling, reaching, balancing, carrying, stooping, bending leaning, sitting, driving ambulance.

Constantly: Hearing/listening, clear speech, touching, smelling, upper and lower body flexibility, seeing (color), multiple physical activities performed at the same time.

MEDREACH AMBULANCE SERVICE

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Emergency Medical Technician